1: Date ... Format: YYYY-MM-DD (eg: 2003-12-25 for Christmas day)

2: Name

3: Comments, Questions, or Prayer Needs

4: I would like to learn more about Check any that apply   What it means to follow Jesus Christ Joining a Small Group E Free Beliefs Alpha (a practical introduction to the Christian faith) The next "Welcome to E Free Orientation" evening Children's programs Young Adults programs Prime Timer's (55+) Baptism Volunteer service opportunities Church membership Youth programs Women's programs Music/Drama/Technical Obtaining offering envelopes

5: Children's names (if applicable)

6: Address

7: Phone

8: Email

9: Contact Information Check any that apply   Change in contact information Please include me in the Church Directory

10: I would like to be contacted Check any that apply   Day Evening Weekend

11: By Check any that apply   Mail Phone Email Thank you, no contact at this time

12: I/We attended Check any that apply   9:15 am 11:00 am Church at Six (Sunday Evening) Special Event

13: I am a Check any that apply   1st time guest 2nd time guest Regular Attender member

14: If you are a 1st or 2nd time guest, how did you hear about E-Free? (website, phone book, friend, etc)